LISA J SIEMSEN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005600

License Status

ACTIVE

Business

First Name

LISA J

Last Name

SIEMSEN

Business Name

LISA J SIEMSEN

Original Issue Date

08/02/1984

Effective Date

06/12/2024

Expiration Date

09/30/2027

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

06/12/2024